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DermAtlas: LIP - burn, chemical
© 2001-2009, DermAtlas
Image Name: Tea_tree_oil_burns_1_090617   File Type: jpg
Diagnosis: BURN, CHEMICAL /
DRUG REACTION /
TEA TREE OID /
MELALEUCA OIL
  Category: environmental injury /
drug reaction
Body Site: lip / mouth / face   Age: 18 years
Contributor: Kadiyali Srivatsa, MD    
Description: red edematous crusted patches, papules, plaques
Comments: This adolescent girl was advised to use Tea tree oil (melaleuca oil) for her acne. The following morning she awoke with swollen lips and a burning sensation on her face. The lesions on her vermillion borders did not exted into her mouth. Oil extracted from the leaves of the Melaleuca alternifolia is said to have antifungal and antibacterial action as well as a beneficial effect on methicillin resistant Staphylococcus aureus skin infections. Tea tree oil can produce contact irritant skin reactions including erythema, erosions, ulcerations which can also involve mucous membranes.

DermAtlas: MOUTH - vitiligo
© 2001-2009, DermAtlas
Image Name: Heat_Induced_Vitiligo_1_090617   File Type: jpg
Diagnosis: VITILIGO   Category: hypopigmentation, depigmentation
Body Site: mouth / gingiva   Age: 26 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: symmetric depigmentation
Comments: This 26-year-old man complained of depigmentation of the lip margins for 7 years. The upper and lower gingivae were also noted to be involved on examination. He confessed to taking his coffee and tea very hot! Betnesol gargles and takinng his tea and coffee lukewarm slowly reversed the condition.

DermAtlas: TOTAL BODY - toxic epidermal necrolysis
© 2001-2009, DermAtlas
Image Name: Toxic_Epidermal_Necrolysis_3_090617   File Type: jpg
Diagnosis: TOXIC EPIDERMAL NECROLYSIS /
STEVENS-JOHNSON SYNDROME
  Category: vesiculobullous eruptions /
reactive erythema
Body Site: total body / face
neck / mouth
  Age: 24 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: generalized red hyperpigmented patches, crusts, vesicles, and erosions
Comments: A 24-year-old woman consulted her doctor for fever and body ache of 3 days duraton. She was prescribed Ofloxacin 400 mg twice a day aand Patracetamol. Six days later she developed extensive tenderness of her skin with brownish discoloration involving the entire body and oral mucosa.She also had malaise, head ache and generalized tender skin. After 3 weeks of oral steroids and skin care, she was markedly improved.
Related Images: Toxic_Epidermal_Necrolysis_2_090617 

DermAtlas: TOTAL BODY - toxic epidermal necrolysis
© 2001-2009, DermAtlas
Image Name: Toxic_Epidermal_Necrolysis_2_090617   File Type: jpg
Diagnosis: TOXIC EPIDERMAL NECROLYSIS /
STEVENS-JOHNSON SYNDROME
  Category: vesiculobullous eruptions /
reactive erythema
Body Site: total body / face
neck / mouth
  Age: 24 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: generalized red hyperpigmented patches, crusts, vesicles, and erosions
Comments: A 24-year-old woman consulted her doctor for fever and body ache of 3 days duraton. She was prescribed Ofloxacin 400 mg twice a day aand Patracetamol. Six days later she developed extensive tenderness of her skin with brownish discoloration involving the entire body and oral mucosa.She also had malaise, head ache and generalized tender skin. After 3 weeks of oral steroids and skin care, she was markedly improved.
Related Images: Toxic_Epidermal_Necrolysis_3_090617 

DermAtlas: BUCCAL MUCOSA - morsicatio
© 2001-2009, DermAtlas
Image Name: morsicatio_1_090503   File Type: jpg
Diagnosis: MORSICATIO /
CHEEK BITING
  Category: dental/oral disorder
Body Site: buccal mucosa / mouth   Age: 30 years
Contributor: James Scuibba    
Description: thickened shredded areas of hyperkeratosis
Comments: This young adult was a chronic cheek chewer. These changes are found most commonly on the buccal mucosa, but the labial mucosa and lateral border of the tongue may also be involved. Zones of white thickening of the mocosa may be found with intervening erosions and ulceration.
Related Images: morsicatio_2_090503 

DermAtlas: BUCCAL MUCOSA - morsicatio
© 2001-2009, DermAtlas
Image Name: morsicatio_2_090503   File Type: jpg
Diagnosis: MORSICATIO /
CHEEK BITING
  Category: dental/oral disorder
Body Site: buccal mucosa / mouth   Age: 30 years
Contributor: James Scuibba    
Description: thickened shredded areas of hyperkeratosis
Comments: This young adult was a chronic cheek chewer. These changes are found most commonly on the buccal mucosa, but the labial mucosa and lateral border of the tongue may also be involved. Zones of white thickening of the mocosa may be found with intervening erosions and ulceration.
Related Images: morsicatio_1_090503 

DermAtlas: Histology - Crohn disease
© 2001-2009, DermAtlas
Image Name: Inflammatory_bowel_disease_11_090421   File Type: jpg
Diagnosis: CROHN DISEASE /
PERLECHE /
GRANULOMATOUS REACTION /
CHEILITIS
  Category: granulomatous disorder /
cutaneous sign of systemic disease /
dental/oral disorder /
gastrointestinal disorder
Body Site: buccal mucosa / mouth   Age: 13 years
Contributor: James Scuibba    
Description: A biopsy of the buccal mucosa revealed focal and diffuse chronic inflammation with scattered non-caseating epitheloid granulomas. Special stains were negative for acid fast bacteria, fungus, and polarizing microscopy was negative for foreign material.
Comments: These changes are consistent with but not specific of Crohn disease.
Related Images: All related Images  Inflammatory_bowel_disease_1_090421  Inflammatory_bowel_disease_2_090421  Inflammatory_bowel_disease_3_090421  Inflammatory_bowel_disease_4_090421  Inflammatory_bowel_disease_5_090421  Inflammatory_bowel_disease_6_090421  Inflammatory_bowel_disease_7_090421  Inflammatory_bowel_disease_8_090421  Inflammatory_bowel_disease_9_090421  Inflammatory_bowel_disease_10_090421 

DermAtlas: Histology - Crohn disease
© 2001-2009, DermAtlas
Image Name: Inflammatory_bowel_disease_10_090421   File Type: jpg
Diagnosis: CROHN DISEASE /
PERLECHE /
GRANULOMATOUS REACTION /
CHEILITIS
  Category: granulomatous disorder /
cutaneous sign of systemic disease /
dental/oral disorder /
gastrointestinal disorder
Body Site: buccal mucosa / mouth   Age: 13 years
Contributor: James Scuibba    
Description: A biopsy of the buccal mucosa revealed focal and diffuse chronic inflammation with scattered non-caseating epitheloid granulomas. Special stains were negative for acid fast bacteria, fungus, and polarizing microscopy was negative for foreign material.
Comments: These changes are consistent with but not specific of Crohn disease.
Related Images: All related Images  Inflammatory_bowel_disease_1_090421  Inflammatory_bowel_disease_2_090421  Inflammatory_bowel_disease_3_090421  Inflammatory_bowel_disease_4_090421  Inflammatory_bowel_disease_5_090421  Inflammatory_bowel_disease_6_090421  Inflammatory_bowel_disease_7_090421  Inflammatory_bowel_disease_8_090421  Inflammatory_bowel_disease_9_090421  Inflammatory_bowel_disease_11_090421 

DermAtlas: Histology - Crohn disease
© 2001-2009, DermAtlas
Image Name: Inflammatory_bowel_disease_9_090421   File Type: jpg
Diagnosis: CROHN DISEASE /
PERLECHE /
GRANULOMATOUS REACTION /
CHEILITIS
  Category: granulomatous disorder /
cutaneous sign of systemic disease /
dental/oral disorder /
gastrointestinal disorder
Body Site: buccal mucosa / mouth   Age: 13 years
Contributor: James Scuibba    
Description: A biopsy of the buccal mucosa revealed focal and diffuse chronic inflammation with scattered non-caseating epitheloid granulomas. Special stains were negative for acid fast bacteria, fungus, and polarizing microscopy was negative for foreign material.
Comments: These changes are consistent with but not specific of Crohn disease.
Related Images: All related Images  Inflammatory_bowel_disease_1_090421  Inflammatory_bowel_disease_2_090421  Inflammatory_bowel_disease_3_090421  Inflammatory_bowel_disease_4_090421  Inflammatory_bowel_disease_5_090421  Inflammatory_bowel_disease_6_090421  Inflammatory_bowel_disease_7_090421  Inflammatory_bowel_disease_8_090421  Inflammatory_bowel_disease_10_090421  Inflammatory_bowel_disease_11_090421 

DermAtlas: Histology - Crohn disease
© 2001-2009, DermAtlas
Image Name: Inflammatory_bowel_disease_8_090421   File Type: jpg
Diagnosis: CROHN DISEASE /
PERLECHE /
GRANULOMATOUS REACTION /
CHEILITIS
  Category: granulomatous disorder /
cutaneous sign of systemic disease /
dental/oral disorder /
gastrointestinal disorder
Body Site: buccal mucosa / mouth   Age: 13 years
Contributor: James Scuibba    
Description: A biopsy of the buccal mucosa revealed focal and diffuse chronic inflammation with scattered non-caseating epitheloid granulomas. Special stains were negative for acid fast bacteria, fungus, and polarizing microscopy was negative for foreign material.
Comments: These changes are consistent with but not specific of Crohn disease.
Related Images: All related Images  Inflammatory_bowel_disease_1_090421  Inflammatory_bowel_disease_2_090421  Inflammatory_bowel_disease_3_090421  Inflammatory_bowel_disease_4_090421  Inflammatory_bowel_disease_5_090421  Inflammatory_bowel_disease_6_090421  Inflammatory_bowel_disease_7_090421  Inflammatory_bowel_disease_9_090421  Inflammatory_bowel_disease_10_090421  Inflammatory_bowel_disease_11_090421 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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